Provider Demographics
NPI:1770020067
Name:TOUCHING LIVES HOME CARE LLC
Entity Type:Organization
Organization Name:TOUCHING LIVES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-428-7983
Mailing Address - Street 1:377 W PIKE ST
Mailing Address - Street 2:A-3
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4881
Mailing Address - Country:US
Mailing Address - Phone:404-428-7983
Mailing Address - Fax:678-869-5904
Practice Address - Street 1:377 W PIKE ST
Practice Address - Street 2:A-3
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4881
Practice Address - Country:US
Practice Address - Phone:404-428-7983
Practice Address - Fax:678-869-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-1692253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care